Do not take if you are pregnant. Use during pregnancy may cause birth defects. If you get pregnant or plan on getting pregnant while taking this drug, call your doctor right away.

Avoid

If you have an allergy to enalapril or any other part of this drug.

Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

If you have any of these health problems: A block in the kidneys' arteries or hyperaldosteronism.

If you have high blood sugar (diabetes) and are taking aliskiren.

If you are pregnant or may be pregnant.

Precautions

Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.

Do not run out of this drug.

If you have kidney disease, talk with your doctor.

Have your blood pressure checked often. Talk with your doctor.

Have your blood work checked. Talk with your doctor.

Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.

Do not take antacids within 2 hours of this drug.

If you are taking a salt substitute that has potassium, potassium-sparing diuretics, or potassium, talk with your doctor.

If you are taking this drug and have high blood pressure, talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, ibuprofen or like products, and some natural products or aids.

Avoid beer, wine, or mixed drinks.

Be careful in hot weather. Drink lots of fluids to stop fluid loss.

Use birth control that you can trust to stop pregnancy while taking this drug.

Tell your doctor if you are breast-feeding.

Side Effects

Feeling dizzy. Rise slowly over a few minutes when sitting or lying down. Be careful climbing.

Headache.

Bad taste in your mouth. This most often goes back to normal.

Cough.

Contact a healthcare provider

If you think there was an overdose, call your local poison control center or ER right away.

Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.

Signs of infection. These include a fever of 100.5°F (38°C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.

Very bad dizziness or passing out.

Trouble breathing.

Too much sweat, fluid loss, throwing up, or loose stools. May lead to low blood pressure.

A big weight gain.

Swelling in your legs or belly.

Cough that does not go away.

Dark urine or yellow skin or eyes.

Any rash.

Side effect or health problem is not better or you are feeling worse.

General Statements

If you have a very bad allergy, wear an allergy ID at all times.

Do not share your drugs with others and do not take anyone else's drugs.

Keep all drugs out of the reach of children and pets.

Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.

In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.

Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.

Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.

Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.